COMMENTS

  1. Insurance for Gender Affirmation or Confirmation Surgery

    CMS.gov. Gender dysphoria and gender reassignment surgery. Transgender Legal Defense & Education Fund. Health insurance medical policies: gender dysphoria / gender reassignment. Aetna. Gender-affirming surgery. Downing J, Holt SK, Cunetta M, Gore JL, Dy GW. Spending and out-of-pocket costs for genital gender-affirming surgery in the US.

  2. Insurance Coverage for Transgender Surgery

    Companies like Anthem Blue Cross, Blue Shield, Aetna, Cigna, and United Health Insurance are known to cover gender-affirming procedures under certain conditions. To figure out if your insurance provider covers gender-affirming surgery, you should: Contact your insurance provider directly to inquire about coverage for gender reassignment surgery.

  3. Find a Surgeon for Gender Affirming Surgery

    Surgeon News. Dr. Joel Beck of Beck Aesthetic Surgery has opened a new surgical space in South Charlotte that will increase his practice facilities by more than 500 percent. To celebrate the opening of Waverly Surgery Center, Dr. Beck is offering a special Top Surgery price of $6500 for this summer only.

  4. Health Insurance Medical Policies

    Gender Dysphoria / Gender Reassignment. Virtually all major insurance companies recognize that transgender-related medical care is medically necessary and have a written policy describing their criteria for when plans they administer will cover it. Below is a list of such policies. The fact that an insurance company is listed below does not ...

  5. Transgender health care coverage

    Many health plans are still using exclusions such as "services related to sex change" or "sex reassignment surgery" to deny coverage to transgender people for certain health care services. Coverage varies by state. Before you enroll in a plan, you should always look at the complete terms of coverage that are included in the "Evidence ...

  6. Anthem Blue Cross Blue Shield

    Voice Therapy and Surgery: Gender affirming voice modification surgery is considered reconstructive when all of the following criteria have been met: The individual is at least 18 years of age; and. The individual has capacity to make fully informed decisions and consent for treatment; and. The individual has been diagnosed with gender ...

  7. Aetna expands gender-affirming surgery coverage for ...

    WOONSOCKET, RI — Aetna, a CVS Health company, with the Transgender Legal Defense & Education Fund (TLDEF) and national civil rights law firm Cohen Milstein Sellers & Toll, today announced that Aetna has expanded coverage of gender-affirming surgery to include breast augmentation for transfeminine members of most of its commercial plans.

  8. How Much Does Gender-Affirming Surgery Cost?

    Gender-affirming surgery can cost between $6,900 and $63,400 depending on the precise procedure, according to a 2022 study published in The Journal of Law, Medicine and Ethics. Out-of-pocket costs ...

  9. Gender-affirming care and your health insurance| HealthPartners Blog

    Most insurance plans cover gender-affirming hormone therapy, which used to be called hormone replacement therapy (HRT). Most plans also cover gender-affirming surgery, which used to be called gender reassignment surgery. That means you can get the care you need to help express your gender identity and more fully be your authentic self.

  10. Does Insurance Cover Gender-Affirming Care?

    Health insurance generally covers gender-affirming care. Not all plans cover all procedures, however, and the process can be murky and require preauthorization. Gender-affirming care can cost tens ...

  11. Transgender health care: Does health insurance cover gender-affirming

    Yes, sometimes health insurance coverage includes gender-affirming surgery. It's important to note that it's not a requirement for a single health insurance plan to cover any specific kind of procedure. For private insurers who do cover gender-affirming surgery, a patient must first prove that the procedure is medically necessary.

  12. Gender Confirmation Surgery

    The cost of transitioning can often exceed $100,000 in the United States, depending upon the procedures needed. A typical genitoplasty alone averages about $18,000. Rhinoplasty, or a nose job, averaged $5,409 in 2019. Insurance Coverage for Sex Reassignment Surgery.

  13. Financial aid for gender-affirming healthcare by Point of Pride

    You are 18 years of age or older at the time of your surgery. You have financial need that prevents you from affording gender-affirming surgery. You can demonstrate past attempts at affording care (i.e. saving money, fundraising, attempting to get insurance coverage.) You complete your surgery in the United States with a US-based surgeon.

  14. Bottom Surgery: Cost, Recovery, Procedure Details, and More

    MTF/MTN bottom surgery procedure. There are three main methods of vaginoplasty performed today: penile inversion. rectosigmoid or colon graft. non-penile inversion vaginoplasty. In all three ...

  15. PDF Issue brief: Health insurance coverage for gender-affirming care of

    Section 1557 of the Afordable Care Act (ACA) created specific protections barring insurance discrimination based on sexual orientation and gender identity.8 Prior to enactment, medically necessary gender-afirming hormones and surgeries were often excluded from insurance coverage. Addressing this disparity, the US Department of Health and Human ...

  16. Colorado now requires gender-affirming care to be covered by private

    Colorado now requires private health insurance plans to cover gender-affirming care for trans people like facial bone remodeling and hormone therapy. Health advocates say it's a very big deal.

  17. Does Health Insurance Cover Transgender Health Care?

    While Section 1557 was initially a big step towards equality in health care for transgender Americans, it does not explicitly require coverage for sex reassignment surgery and related medical care. And the implementation of Section 1557 has been a convoluted process with various changes along the way. Most recently, the Biden administration has ...

  18. Navigating Insurance Policies in the United States for Gende ...

    However, sociopolitical changes and expanding health insurance coverage have led to an increased incidence of gender-affirming surgery. 6, 12, 13 Despite this, more than half of patients within the past year were denied insurance coverage for gender-affirming surgeries. 14 The World Professional Association for Transgender Health, a nonprofit ...

  19. Is Gender Reassignment Surgery Covered by Health Insurance?

    Some private health plans offer coverage of gender reassignment but are dependent on meeting strict criteria. Mira provides an affordable health coverage option for as little as $45 per month and does not discriminate based on gender identity or sexual orientation. With Mira, you have discounted rates to doctor's office and urgent care visits ...

  20. Study: Paying for Transgender Health Care Cost-Effective

    Most health insurance plans do not cover care associated with transitioning to the opposite sex. A new analysis led by the Johns Hopkins Bloomberg School of Public Health suggests that while most U.S. health insurance plans deny benefits to transgender men and women for medical care necessary to transition to the opposite sex, paying for sex reassignment surgery and hormones is actually cost ...

  21. Health care needs and barriers to care among the transgender population

    Transgender people comprise an estimated 0.3-0.5% (25 million) of the global population. The public health agenda focuses on understanding and improving the health and well-being of gender minorities. Transgender (TG) persons often have complex healthcare needs and suffer significant health disparities in multiple arenas. The international literature suggests that this community is at a ...